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从2000年到2017年,泰国成年人使用牙科服务的不平等情况
Nichamon Chaianant1, Teerawat Tussanapirom2, Matana Kettratad3
1Research Unit in Mineralized Tissue Reconstruction and Faculty of Dentistry, Thammasat University, Pathumthani, Thailand.
Community dentistry and oral epidemiology
|June 23, 2023
概括
泰国的全民医疗计划 (UCS) 增加了牙科服务的使用率,但在成年人中社会经济不平等仍然存在. 需要进一步的干预措施来解决牙科护理的持续差异.
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 泰国在2002年实施了全民医疗覆盖计划 (UCS),以改善所有公民的医疗保健服务.
- 尽管有UCS,但在获得医疗服务,特别是牙科护理方面的社会经济差异可能仍然存在.
研究的目的:
- 在UCS实施之前和之后,评估泰国成年人中牙科服务利用 (DU) 的社会经济不平等.
- 在泰国成年人群中确定与DU相关的因素.
主要方法:
- 利用了2000-2001年至2017年期间进行的四项国家口腔健康调查的二次数据.
- 定义DU为在过去一年内访问牙医,用于全国代表性样本的35-44岁的泰国成年人.
- 使用不平等的斜率指数 (SII) 和相对不平等指数 (RII) 来衡量与教育和收入相关的不平等,以及Poisson回归来进行因子分析.
主要成果:
- 牙科服务利用率 (DU) 在UCS实施后增加,但仍然存在显著的社会经济不平等,受过教育和高收入群体的使用率更高.
- 在所有调查年 (0.16-0.26) 中,在DU中观察到绝对的教育不平等.
- 在DU中,绝对收入不平等也存在,尽管波动 (0.07-0.15).
- 诸如职业,健康保险类型,性别和口腔健康行为等因素与 DU 有关.
结论:
- 全民覆盖医疗计划 (UCS) 提高了泰国获得牙科服务的机会.
- 然而,单靠UCS可能不足以有效地减少或消除泰国成年人使用牙科服务的社会经济差异.
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